Neutralizing Antibodies and Cellular Immune Responses Against SARS-CoV-2 Sustained One and a Half Years After Natural Infection

BackgroundCOVID-19 has caused more than 2.6 billion infections and several million deaths since its outbreak 2 years ago. We know very little about the long-term cellular immune responses and the kinetics of neutralizing antibodies (NAbs) to SARS-CoV-2 because it has emerged only recently in the hum...

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Main Authors: Li-na Yan, Pan-pan Liu, Xu-gui Li, Shi-jing Zhou, Hao Li, Zhi-yin Wang, Feng Shen, Bi-chao Lu, Yu Long, Xiao Xiao, Zhen-dong Wang, Dan Li, Hui-ju Han, Hao Yu, Shu-han Zhou, Wen-liang Lv, Xue-jie Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2021.803031/full
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author Li-na Yan
Pan-pan Liu
Xu-gui Li
Shi-jing Zhou
Hao Li
Zhi-yin Wang
Feng Shen
Bi-chao Lu
Yu Long
Xiao Xiao
Zhen-dong Wang
Dan Li
Hui-ju Han
Hao Yu
Shu-han Zhou
Wen-liang Lv
Xue-jie Yu
author_facet Li-na Yan
Pan-pan Liu
Xu-gui Li
Shi-jing Zhou
Hao Li
Zhi-yin Wang
Feng Shen
Bi-chao Lu
Yu Long
Xiao Xiao
Zhen-dong Wang
Dan Li
Hui-ju Han
Hao Yu
Shu-han Zhou
Wen-liang Lv
Xue-jie Yu
author_sort Li-na Yan
collection DOAJ
description BackgroundCOVID-19 has caused more than 2.6 billion infections and several million deaths since its outbreak 2 years ago. We know very little about the long-term cellular immune responses and the kinetics of neutralizing antibodies (NAbs) to SARS-CoV-2 because it has emerged only recently in the human population.MethodsWe collected blood samples from individuals who were from the first wave of the COVID-19 epidemic in Wuhan between December 30, 2019, and February 24, 2020. We analyzed NAbs to SARS-CoV-2 using pseudoviruses and IgG antibodies to SARS-CoV-2 spike (S) and nucleocapsid (N) protein using enzyme-linked immunosorbent assay in patients’ sera and determined SARS-CoV-2-specific T-cell responses of patients with ELISpot assays.ResultsWe found that 91.9% (57/62) and 88.9% (40/45) of COVID-19 patients had NAbs against SARS-CoV-2 in a year (10–11 months) and one and a half years (17–18 months), respectively, after the onset of illness, indicating that NAbs against SARS-CoV-2 waned slowly and possibly persisted over a long period time. Over 80% of patients had IgG antibodies to SARS-CoV-2 S and N protein one and a half years after illness onset. Most patients also had robust memory T-cell responses against SARS-CoV-2 one and a half years after the illness. Among the patients, 95.6% (43/45) had an IFN-γ-secreting T-cell response and 93.8% (15/16) had an IL-2-secreting T-cell response. The T-cell responses to SARS-CoV-2 were positively correlated with antibodies (including neutralizing antibodies and IgG antibodies to S and N protein) in COVID-19 patients. Eighty percent (4/5) of neutralizing antibody-negative patients also had SARS-CoV-2-specific T-cell response. After long-term infection, protective immunity was independent of disease severity, sex, and age.ConclusionsWe concluded that SARS-CoV-2 infection elicited a robust and persistent neutralizing antibody and memory T-cell response in COVID-19 patients, indicating that these sustained immune responses, among most SARS-CoV-2-infected people, may play a crucial role in protection against reinfection.
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spelling doaj.art-80c2843ad09446c7a214de46e2df1af52022-12-21T16:43:14ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2022-03-011210.3389/fmicb.2021.803031803031Neutralizing Antibodies and Cellular Immune Responses Against SARS-CoV-2 Sustained One and a Half Years After Natural InfectionLi-na Yan0Pan-pan Liu1Xu-gui Li2Shi-jing Zhou3Hao Li4Zhi-yin Wang5Feng Shen6Bi-chao Lu7Yu Long8Xiao Xiao9Zhen-dong Wang10Dan Li11Hui-ju Han12Hao Yu13Shu-han Zhou14Wen-liang Lv15Xue-jie Yu16State Key Laboratory of Virology, School of Public Health, Wuhan University, Wuhan, ChinaState Key Laboratory of Virology, School of Public Health, Wuhan University, Wuhan, ChinaThe Department of Clinical Laboratory Medicine, Hubei 672 Orthopaedics Hospital, Wuhan, ChinaThe Department of Clinical Laboratory Medicine, Hubei 672 Orthopaedics Hospital, Wuhan, ChinaThe First School of Clinical Medicine, Hubei University of Chinese Medicine, Wuhan, ChinaDepartment of Clinical Laboratory Medicine, Hubei University of Chinese Medicine Huangjiahu Hospital, Wuhan, ChinaCollege of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, ChinaClinical College, Hubei University of Chinese Medicine, Wuhan, ChinaClinical College, Hubei University of Chinese Medicine, Wuhan, ChinaState Key Laboratory of Virology, School of Public Health, Wuhan University, Wuhan, ChinaSchool of Public Health, Xi’an Medical University, Xi’an, ChinaState Key Laboratory of Virology, School of Public Health, Wuhan University, Wuhan, ChinaState Key Laboratory of Virology, School of Public Health, Wuhan University, Wuhan, ChinaDepartment of Neuroscience, Cell Biology, and Anatomy, University of Texas Medical Branch, Galveston, TX, United StatesClinical College, Hubei University of Chinese Medicine, Wuhan, ChinaClinical College, Hubei University of Chinese Medicine, Wuhan, ChinaState Key Laboratory of Virology, School of Public Health, Wuhan University, Wuhan, ChinaBackgroundCOVID-19 has caused more than 2.6 billion infections and several million deaths since its outbreak 2 years ago. We know very little about the long-term cellular immune responses and the kinetics of neutralizing antibodies (NAbs) to SARS-CoV-2 because it has emerged only recently in the human population.MethodsWe collected blood samples from individuals who were from the first wave of the COVID-19 epidemic in Wuhan between December 30, 2019, and February 24, 2020. We analyzed NAbs to SARS-CoV-2 using pseudoviruses and IgG antibodies to SARS-CoV-2 spike (S) and nucleocapsid (N) protein using enzyme-linked immunosorbent assay in patients’ sera and determined SARS-CoV-2-specific T-cell responses of patients with ELISpot assays.ResultsWe found that 91.9% (57/62) and 88.9% (40/45) of COVID-19 patients had NAbs against SARS-CoV-2 in a year (10–11 months) and one and a half years (17–18 months), respectively, after the onset of illness, indicating that NAbs against SARS-CoV-2 waned slowly and possibly persisted over a long period time. Over 80% of patients had IgG antibodies to SARS-CoV-2 S and N protein one and a half years after illness onset. Most patients also had robust memory T-cell responses against SARS-CoV-2 one and a half years after the illness. Among the patients, 95.6% (43/45) had an IFN-γ-secreting T-cell response and 93.8% (15/16) had an IL-2-secreting T-cell response. The T-cell responses to SARS-CoV-2 were positively correlated with antibodies (including neutralizing antibodies and IgG antibodies to S and N protein) in COVID-19 patients. Eighty percent (4/5) of neutralizing antibody-negative patients also had SARS-CoV-2-specific T-cell response. After long-term infection, protective immunity was independent of disease severity, sex, and age.ConclusionsWe concluded that SARS-CoV-2 infection elicited a robust and persistent neutralizing antibody and memory T-cell response in COVID-19 patients, indicating that these sustained immune responses, among most SARS-CoV-2-infected people, may play a crucial role in protection against reinfection.https://www.frontiersin.org/articles/10.3389/fmicb.2021.803031/fullneutralizing antibodyT-cell responseantigen-specificSARS-CoV-2COVID-19
spellingShingle Li-na Yan
Pan-pan Liu
Xu-gui Li
Shi-jing Zhou
Hao Li
Zhi-yin Wang
Feng Shen
Bi-chao Lu
Yu Long
Xiao Xiao
Zhen-dong Wang
Dan Li
Hui-ju Han
Hao Yu
Shu-han Zhou
Wen-liang Lv
Xue-jie Yu
Neutralizing Antibodies and Cellular Immune Responses Against SARS-CoV-2 Sustained One and a Half Years After Natural Infection
Frontiers in Microbiology
neutralizing antibody
T-cell response
antigen-specific
SARS-CoV-2
COVID-19
title Neutralizing Antibodies and Cellular Immune Responses Against SARS-CoV-2 Sustained One and a Half Years After Natural Infection
title_full Neutralizing Antibodies and Cellular Immune Responses Against SARS-CoV-2 Sustained One and a Half Years After Natural Infection
title_fullStr Neutralizing Antibodies and Cellular Immune Responses Against SARS-CoV-2 Sustained One and a Half Years After Natural Infection
title_full_unstemmed Neutralizing Antibodies and Cellular Immune Responses Against SARS-CoV-2 Sustained One and a Half Years After Natural Infection
title_short Neutralizing Antibodies and Cellular Immune Responses Against SARS-CoV-2 Sustained One and a Half Years After Natural Infection
title_sort neutralizing antibodies and cellular immune responses against sars cov 2 sustained one and a half years after natural infection
topic neutralizing antibody
T-cell response
antigen-specific
SARS-CoV-2
COVID-19
url https://www.frontiersin.org/articles/10.3389/fmicb.2021.803031/full
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